Vascular malformations of the brain stem.
Vascular malformations of the brain stem.
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脑干血管畸形。
DOI：
10.3171/jns.1989.70.6.0847
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发表时间：
1989
影响因子：
4.1
通讯作者：
D. Chyatte
中科院分区：
文献类型：
--
作者：
D. Chyatte
脑干血管畸形是一种罕见的病变，可能会造成诊断和治疗的挑战。对7例脑干血管畸形患者进行了评价; 6例进行了手术治疗，5例患者的病变完全闭塞。在5名患者中，症状仅在出血发生后才出现，其中3名患者在给予适当治疗前再次出血。血管造影未能显示病变的三个案件，这似乎并没有防止重复出血，因为三个二再出血。没有手术死亡，也没有患者在手术后永久恶化。有用的恢复通常发生在适当的治疗后，似乎是可能的，即使在病人谁遭受了灾难性的神经功能缺损的时候介绍。这些数据表明，在一些有症状的脑干血管畸形患者中，手术切除病变可能是必要的。
Vascular malformations of the brain stem are unusual lesions that may pose a diagnostic and therapeutic challenge. Seven patients with vascular malformations involving the brain stem were evaluated; six were treated surgically, with complete obliteration of the lesion in five patients. In five patients symptoms developed only after a hemorrhage had occurred, and three of these suffered a rebleed before appropriate treatment was given. Angiography failed to demonstrate lesions in three cases, which did not appear to protect from repeat hemorrhage since two of the three rebled. There were no operative deaths, and no patients were made permanently worse after surgery. Useful recovery occurred commonly after appropriate treatment and appeared to be possible even in patients who had suffered a catastrophic neurological deficit at the time of presentation. These data indicate that surgical removal of the lesion may be warranted in some patients with symptomatic brain-stem vascular malformation.